Initial treatment for reproductive disorders in overweight and obese women…is weight loss!
Initial treatment for reproductive disorders in overweight and obese women with PCOS is weight loss. This helps menstrual disturbances, shortens the time to conception and reduces adverse obstetric risks.
The Society of Obstetricians and Gynaecologists of Canada. RECOMMENDATIONS
Weight loss, exercise, and lifestyle modifications have been proven effective in restoring ovulatory cycles and achieving pregnancy in overweight women with PCOS and should be the first-line option for these women. (II-3A) Morbidly obese women should seek expert advice about pregnancy risk
Obese women require higher doses of medication and produce fewer follicles for a given dose
In women, being overweight or obese is associated with impaired fertility and decreased chance of conception both in natural and assisted reproductive technology births. During pregnancy, overweight and obesity are associated with increased risk of adverse maternal and infant health outcomes.
Attention to weight loss before conception may improve fertility and maternal and infant health outcomes during pregnancy.
Lifestyle intervention provided benefits when compared to minimal treatment for secondary reproductive, anthropometric and reproductive outcomes.
Five randomized controlled trials and three cohort studies:. All studies involved moderate intensity physical activity– improved ovulation, reduced Implantation rates(9-30%) and weight loss (4.5-10%